Endoscopic transorbital avenue to the skull base: Four-step conceptual analysis of the anatomic journey
BackgroundIn the last decades, skull base surgery had passed through an impressive evolution. The role of neuroanatomic research has been uppermost, and it has played a central role in the development of novel techniques directed to the skull base. Indeed, the deep and comprehensive study of skull b...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.988131/full |
| _version_ | 1811305746654035968 |
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| author | Giulia Guizzardi Alberto Di Somma Alberto Di Somma Matteo de Notaris Matteo de Notaris Francesco Corrivetti Francesco Corrivetti Juan Carlos Sánchez Isam Alobid Abel Ferres Pedro Roldan Luis Reyes Joaquim Enseñat Alberto Prats-Galino Alberto Prats-Galino |
| author_facet | Giulia Guizzardi Alberto Di Somma Alberto Di Somma Matteo de Notaris Matteo de Notaris Francesco Corrivetti Francesco Corrivetti Juan Carlos Sánchez Isam Alobid Abel Ferres Pedro Roldan Luis Reyes Joaquim Enseñat Alberto Prats-Galino Alberto Prats-Galino |
| author_sort | Giulia Guizzardi |
| collection | DOAJ |
| description | BackgroundIn the last decades, skull base surgery had passed through an impressive evolution. The role of neuroanatomic research has been uppermost, and it has played a central role in the development of novel techniques directed to the skull base. Indeed, the deep and comprehensive study of skull base anatomy has been one of the keys of success of the endoscopic endonasal approach to the skull base. In the same way, dedicated efforts expended in the anatomic lab has been a powerful force for the growth of the endoscopic transorbital approach to the lateral skull base.Therefore, in this conceptual paper, the main steps for the anatomic description of the endoscopic transorbital approach to the skull base have been detailed.MethodsThe anatomic journey for the development of the endoscopic transorbital approach to the skull base has been analyzed, and four “conceptual” steps have been highlighted.ResultsAs neurosurgeons, the eyeball has always represented a respectful area: to become familiar with this complex and delicate anatomy, we started by examining the orbital anatomy on a dry skull (step 1). Hence, step 1 is represented by a detailed bone study; step 2 is centered on cadaveric dissection; step 3 consists in 3D quantitative assessment of the novel endoscopic transorbital corridor; and finally, step 4 is the translation of the preclinical data in the real surgical scenario by means of dedicated surgical planning.ConclusionsThe conceptual analysis of the anatomic journey for the description of the endoscopic transorbital approach to the skull base resulted in four main methodological steps that should not be thought strictly consequential but rather interconnected. Indeed, such steps should evolve following the drives that can arise in each specific situation. In conclusion, the four-step anatomic rehearsal can be relevant for the description, diffusion, and development of a novel technique in order to facilitate the application of the endoscopic transorbital approach to the skull base in a real surgical scenario. |
| first_indexed | 2024-04-13T08:30:50Z |
| format | Article |
| id | doaj.art-19097153eb2e4896b2a95b79545e986d |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-13T08:30:50Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-19097153eb2e4896b2a95b79545e986d2022-12-22T02:54:14ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-09-011210.3389/fonc.2022.988131988131Endoscopic transorbital avenue to the skull base: Four-step conceptual analysis of the anatomic journeyGiulia Guizzardi0Alberto Di Somma1Alberto Di Somma2Matteo de Notaris3Matteo de Notaris4Francesco Corrivetti5Francesco Corrivetti6Juan Carlos Sánchez7Isam Alobid8Abel Ferres9Pedro Roldan10Luis Reyes11Joaquim Enseñat12Alberto Prats-Galino13Alberto Prats-Galino14Laboratory of Surgical Neuroanatomy, Universitat de Barcelona, Barcelona, SpainLaboratory of Surgical Neuroanatomy, Universitat de Barcelona, Barcelona, SpainDepartment of Neurological Surgery, Hospital Clínic de Barcelona, Barcelona, SpainDepartment of Neuroscience, Neurosurgery Operative Unit, “San Pio” Hospital, Benevento, ItalyLaboratory of Neuroscience, European Biomedical Research Institute of Salerno (EBRIS) Foundation, European Biomedical Research Institute of Salerno, Salerno, ItalyDepartment of Neuroscience, Neurosurgery Operative Unit, “San Pio” Hospital, Benevento, ItalyLaboratory of Neuroscience, European Biomedical Research Institute of Salerno (EBRIS) Foundation, European Biomedical Research Institute of Salerno, Salerno, ItalyClinic Institute of Ophthalmology (ICOF), Hospital Clínic de Barcelona, Barcelona, SpainRhinology Unit and Smell Clinic, ENT Department, Hospital Clínic de Barcelona, Barcelona, SpainDepartment of Neurological Surgery, Hospital Clínic de Barcelona, Barcelona, SpainDepartment of Neurological Surgery, Hospital Clínic de Barcelona, Barcelona, SpainDepartment of Neurological Surgery, Hospital Clínic de Barcelona, Barcelona, SpainDepartment of Neurological Surgery, Hospital Clínic de Barcelona, Barcelona, SpainLaboratory of Surgical Neuroanatomy, Universitat de Barcelona, Barcelona, SpainServei de investigación en anatomía funcional del sistema nervioso, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, SpainBackgroundIn the last decades, skull base surgery had passed through an impressive evolution. The role of neuroanatomic research has been uppermost, and it has played a central role in the development of novel techniques directed to the skull base. Indeed, the deep and comprehensive study of skull base anatomy has been one of the keys of success of the endoscopic endonasal approach to the skull base. In the same way, dedicated efforts expended in the anatomic lab has been a powerful force for the growth of the endoscopic transorbital approach to the lateral skull base.Therefore, in this conceptual paper, the main steps for the anatomic description of the endoscopic transorbital approach to the skull base have been detailed.MethodsThe anatomic journey for the development of the endoscopic transorbital approach to the skull base has been analyzed, and four “conceptual” steps have been highlighted.ResultsAs neurosurgeons, the eyeball has always represented a respectful area: to become familiar with this complex and delicate anatomy, we started by examining the orbital anatomy on a dry skull (step 1). Hence, step 1 is represented by a detailed bone study; step 2 is centered on cadaveric dissection; step 3 consists in 3D quantitative assessment of the novel endoscopic transorbital corridor; and finally, step 4 is the translation of the preclinical data in the real surgical scenario by means of dedicated surgical planning.ConclusionsThe conceptual analysis of the anatomic journey for the description of the endoscopic transorbital approach to the skull base resulted in four main methodological steps that should not be thought strictly consequential but rather interconnected. Indeed, such steps should evolve following the drives that can arise in each specific situation. In conclusion, the four-step anatomic rehearsal can be relevant for the description, diffusion, and development of a novel technique in order to facilitate the application of the endoscopic transorbital approach to the skull base in a real surgical scenario.https://www.frontiersin.org/articles/10.3389/fonc.2022.988131/fullendoscopic transorbitalendoscopic skull base surgeryendoscopic transorbital anatomyskull base anatomysurgical planning |
| spellingShingle | Giulia Guizzardi Alberto Di Somma Alberto Di Somma Matteo de Notaris Matteo de Notaris Francesco Corrivetti Francesco Corrivetti Juan Carlos Sánchez Isam Alobid Abel Ferres Pedro Roldan Luis Reyes Joaquim Enseñat Alberto Prats-Galino Alberto Prats-Galino Endoscopic transorbital avenue to the skull base: Four-step conceptual analysis of the anatomic journey Frontiers in Oncology endoscopic transorbital endoscopic skull base surgery endoscopic transorbital anatomy skull base anatomy surgical planning |
| title | Endoscopic transorbital avenue to the skull base: Four-step conceptual analysis of the anatomic journey |
| title_full | Endoscopic transorbital avenue to the skull base: Four-step conceptual analysis of the anatomic journey |
| title_fullStr | Endoscopic transorbital avenue to the skull base: Four-step conceptual analysis of the anatomic journey |
| title_full_unstemmed | Endoscopic transorbital avenue to the skull base: Four-step conceptual analysis of the anatomic journey |
| title_short | Endoscopic transorbital avenue to the skull base: Four-step conceptual analysis of the anatomic journey |
| title_sort | endoscopic transorbital avenue to the skull base four step conceptual analysis of the anatomic journey |
| topic | endoscopic transorbital endoscopic skull base surgery endoscopic transorbital anatomy skull base anatomy surgical planning |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.988131/full |
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